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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Every word you type has to appear somewhere in the question, and the closest matches are ranked first.
10,375 questions in 429 reviews · Oral Health
current versionsNo studies 1,344 · 13%Ungraded 6,832 · 65.9%Very low 1,228 · 11.8%Low 613 · 5.9%Moderate 290 · 2.8%High 68 · 0.7%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Rubber dam isolation vs Isolite system Participant acceptance/satisfaction · Dental patients undergoing restorative treatment (no age or gender restriction) · Pit and fissure sealing (permanent molars) Rubber dam isolation for restorative treatment in dental patients (2021) · Cochrane | Rubber dam may be associated with significantly lower satisfaction than the Isolite system but evidence very uncertain, mainly worse comfort (31%, P=0.02) and less preference (26%, P=0.002) (Alhareky 2014). | 1 study · 42 participants | Very low |
Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery) vs Locoregional treatment (radiotherapy and/or surgery) alone Overall survival, induction platinum + 5-fluorouracil prior to radiotherapy vs radiotherapy alone · People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy (2021) · Cochrane | HR 0.85 [0.70, 1.04] | 5 studies · 7427 participants | Moderate |
ARP with xenograft (bone graft) vs Extraction alone Changes in vertical height of alveolar ridge (mm) · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 to 36 months Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane | MD -1.35 [-2.0, -0.7] | 6 studies · 184 participants | Very low |
Maternal smoking during pregnancy vs No maternal smoking during pregnancy Childhood dental caries · Children in cross-sectional studies · Poland, United States, Sweden, Italy, and Japan, Sensitivity: excluded Julihn et al. 2009 Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021) | OR 1.63 [1.35, 1.98] | 5 studies | Ungraded |
ARP with demineralised bone matrix, single particle size vs ARP with demineralised bone matrix, multiple particle size Changes in vertical height of alveolar ridge (mm) · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 months Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane | MD 0.1 [-1.22, 1.42] | 1 study · 30 participants | Very low |
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CT genotype vs TT genotype (heterozygous model) Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Case-control studies of children and adults (China, India, Czech Republic, Turkey), Ethnicity: Caucasian Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021) | OR 0.93 [0.56, 1.56] | 2 studies · 538 participants | Ungraded |
Fixed tooth-borne Hyrax expander vs Bonded expander plate (acrylic) Molar expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · 1 week after completion of expansion Orthodontic treatment for posterior crossbites (2021) · Cochrane | MD 0.36 [-0.72, 1.44] | 1 study | Ungraded |
Direct composite resin restoration vs Amalgam restoration Secondary caries · People with permanent or adult posterior teeth requiring restoration (parallel-group trials involved children aged 6… · Follow-up >= 3 years, Split-mouth trials Direct composite resin fillings versus amalgam fillings for permanent posterior teeth (2021) · Cochrane | RR 1.30 [0.34, 4.97] | 5 studies | Ungraded |
Edentulous (0 remaining teeth) vs 1-32 remaining teeth All-cause mortality (ACM) · Adults (any age) with a known number of remaining teeth, followed prospectively in cohort studies · Community-based and clinical cohorts worldwide (all continents); events ascertained from medical records, death certificates/registers, or self-report, Crude Lower Number of Teeth Is Related to Higher Risks for ACVD and Death-Systematic Review and Meta-Analyses of… (2021) | HR 1.73 [1.41, 2.13] | 5 studies · 99303 participants | Ungraded |
Clear aligners (Invisalign / thermoformed aligners) vs Fixed appliances Gingival index (GI) · Adults undergoing orthodontic treatment · 6 to 12 weeks, Adults Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and… (2021) | MD -0.10 [-0.35, 0.15] | 1 study | Ungraded |
Conventional bitewing radiography, E-speed film vs Histological validation of dental tissues (gold standard) Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021) | Specificity 0.90 [0.84, 0.93] | 9 studies | Ungraded |
TaqI (rs731236 T>C) polymorphism in the VDR gene (C allele / variant genotype) vs CT/CC genotype vs TT genotype (dominant model) Dental caries susceptibility (risk of dental caries) · Children and adults (no age limit) assessed for dental caries susceptibility · Case-control studies of children and adults (China, India, Czech Republic, Turkey), Ethnicity: Asian Association Between the TaqI (rs731236 T>C) Gene Polymorphism and Dental Caries Risk: A Meta-analysis. (2021) | OR 1.67 [0.97, 2.87] | 5 studies · 1932 participants | Ungraded |
Double primary (canine and first molar) tooth extraction vs Single primary (canine) tooth extraction Incidence of eruption of the PDC into the mouth · Young people aged 9 to 14 years diagnosed with one or both palatally displaced permanent maxillary canines (PDC) · 18 months (mean; mITT) Interventions for promoting the eruption of palatally displaced permanent canine teeth, without the need for… (2021) · Cochrane | RR 0.68 [0.35, 1.31] | 3 studies · 119 participants | Very low |
Laser fluorescence pen (DIAGNOdent 2190/Pen) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography) Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces · in vitro Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) | Specificity 0.77 [0.62, 0.88] | 4 studies | Ungraded |
Systemic sclerosis (SSc / scleroderma) vs SSc-free individuals (controls) Number of decayed teeth · Adults (general and hospital populations assessed in case-control studies) · Hospital/clinic-based case-control studies from Asia, America and Europe Oral manifestations of patients with systemic sclerosis: a meta-analysis for case-controlled studies. (2021) | SMD 0.186 [0.007, 0.365] | 3 studies | Ungraded |
Laser fluorescence (DIAGNOdent 2190/pen) vs Histological validation of dental tissues (gold standard) Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021) | AUC 0.91 | 5 studies | Ungraded |
ARP with alloplast vs Extraction alone Implant failure rate · Adults aged 18 years or older, in good general health (including well-controlled systemic disease), requiring… · 6 months Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site… (2021) · Cochrane | Outcome not reported | 0 studies | No studies |
Fixed bonded acrylic splint expander vs No treatment Molar expansion (maxillary intermolar width) · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… Orthodontic treatment for posterior crossbites (2021) · Cochrane | MD 6.265 | 1 study | Ungraded |
Arab ethnicity vs Reference ethnicity not stated Mean DMFT · School children aged 11-17 years in Sharjah · Overall Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Regression coefficient 0.74 [0.32, 1.17] | 1 study · 803 participants | Ungraded |
Visual examination (VE) vs Histological validation of dental tissues (gold standard) Diagnostic accuracy for proximal caries detection (1/3 dentin detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, 1/3 dentin detection level Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021) | Specificity 0.84 [0.76, 0.89] | 1 study | Ungraded |
Female sex vs Male sex Molar-incisor hypomineralization prevalence · School children aged 8-12 years in Dubai public schools · Females Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade. (2021) | Prevalence 32.6 | 1 study · 342 participants | Ungraded |
Digital bitewing radiography (phosphor plates) vs Histological validation (serial sectioning, grinding, hemisection, or microradiography) Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Extracted human permanent posterior teeth (premolars and molars), occlusal (pit-and-fissure) surfaces · in vitro Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) | Specificity 0.95 [0.59, 0.995] | 2 studies | Ungraded |
Analogue (conventional) radiographs vs Digital radiographs (direct within-person / paired comparison); reference standard: histology, excavation, or enhanced visual examination Specificity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Digital Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.88 [0.83, 0.92] | 15 studies | Ungraded |
Glass ionomer cement (for bracket bonding) vs Resin adhesive (for bracket bonding) Initiation of white spot lesions (WSL), visual-tactile assessment · Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances · 12-24 months follow-up, Patients undergoing fixed (multibracket) orthodontic appliance treatment; clinical/dental setting; analysis at tooth level Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021) | RR 0.72 [0.34, 1.54] | 3 studies · 394 participants | Very low |
Maternal smoking during pregnancy vs No maternal smoking during pregnancy Childhood dental caries · Children in cross-sectional studies · Poland, United States, Sweden, Italy, and Japan, Sensitivity: excluded Majorana et al. 2014 Correlation Between Maternal Smoking During Pregnancy and Dental Caries in Children: A Systematic Review and… (2021) | OR 1.57 [1.47, 1.68] | 5 studies | Ungraded |
Nickel-titanium archwire vs Multistranded stainless steel archwire Harms (pain) · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · first days Orthodontic treatment for crowded teeth in children (2021) · Cochrane | No difference in overall pain, but more pain with nickel-titanium at 12 hours and day 1 (morning, afternoon, bedtime) vs multistranded stainless steel (Sandhu 2013). Narrative; no pooled estimate. | 1 study | Ungraded |
Four-point expansion appliance (Hyrax) vs Two-point expansion appliance Canine expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · 3 months after completion of expansion Orthodontic treatment for posterior crossbites (2021) · Cochrane | Lamparski 2003: 4-point 3.034 mm vs 2-point 1.7 mm; P=0.331 (NS, no SD) | 1 study | Ungraded |
Sealing (resin sealant, glass ionomer cement, or polyurethane tape) vs Non-invasive/control treatments (flossing, fluoride varnish/toothpaste, or dietary advice; placebo in one trial) Radiographic proximal caries lesion progression · Patients with non-cavitated proximal caries lesions · Longest available follow-up Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis. (2021) | OR 0.27 [0.18, 0.42] | 7 studies · 320 participants | Moderate |
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling Change in diastolic blood pressure (DBP, mmHg) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Short term (follow-up 2-3 months), People diagnosed with periodontitis Effect of periodontal treatments on blood pressure (2021) · Cochrane | MD -2.08 [-4.84, 0.68] | 2 studies · 227 participants | Low |
Fixed tooth-borne expansion (Hyrax) vs Observation (no treatment) Canine expansion (inter-canine distance) · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… Orthodontic treatment for posterior crossbites (2021) · Cochrane | Not measured (SoF 3) | 0 studies | No studies |
Visual or visual-tactile classification systems (any system: ICDAS, ERK, Nyvad, Downer, Lussi, UniViSS, or unspecified) vs Reference standard (histology, excavation, radiographs/microCT, or tooth separation) Specificity for detection of enamel caries · Asymptomatic children or adults presenting for clinical examination (in vivo studies), or extracted teeth of children… · Up to 3 months between index test and reference standard (in vivo studies) Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane | Specificity 0.77 [0.72, 0.82] | 67 studies | Low |
Fixed expander with differential opening expansion (DOE) vs Fixed fan-type expander Molar expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… Orthodontic treatment for posterior crossbites (2021) · Cochrane | Massaro 2020: DOE 5.10 (SD 1.17) mm vs fan-type 2.23 (SD 0.75) mm; P<0.001 (favours differential opening) | 1 study | Ungraded |
Intervention NR Dental caries prevalence · General population in Ethiopia (all ages, age range 6-100 years) · Community-, school-, and hospital/clinic-based populations across regions of Ethiopia, Others (Oromia, Harar town, SNNPR) Dental caries and associated factors in Ethiopia: systematic review and meta-analysis. (2021) | Prevalence 0.4290 [0.2468, 0.6112] | 3 studies | Ungraded |
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination) Sensitivity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Dentine-caries (D3) prevalence high >=35% or unreported (non-CBCT) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Sensitivity 0.50 [0.40, 0.59] | NR | Ungraded |
Electronic caries monitor (ECM) device (ECM II / ECM III / ECM IV) vs Reference standard: histology or enhanced visual examination (with or without radiographs) Sensitivity · Children, adolescents, or adults presenting asymptomatically or suspected of early enamel caries (in vivo), or… · Up to 3 months between index test and reference standard (in vivo studies) Electrical conductance for the detection of dental caries (2021) · Cochrane | ECM (4 studies, 475 tooth surfaces): sensitivity ranged from 0.61 to 0.98 (0.61-0.65 in three studies; 0.98 in the most recent ECM IV study). No evidence of a difference in accuracy by device type (Chi2=0.05, df=1,… | 4 studies | Ungraded |
Intervention NR Water samples with fluoride concentration above the acceptable range · Region: South Brazil External control of fluoridation in the public water supplies of Brazilian cities as a strategy against… (2021) | Prevalence 12.7 [0.5, 36.6] | NR | Ungraded |
Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery) vs Locoregional treatment (radiotherapy and/or surgery) alone Disease-free survival, induction platinum + 5-fluorouracil prior to radiotherapy vs radiotherapy alone · People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy (2021) · Cochrane | HR 0.78 [0.63, 0.97] | 3 studies · 332 participants | Ungraded |
Intervention NR Dental caries prevalence · Rwanda Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and… (2021) | Prevalence 0.425 [0.360, 0.489] | 1 study | Ungraded |
Copper nickel-titanium archwire vs Nickel-titanium archwire Amount of crowding (Little's Irregularity Index) at 12 weeks · Children or adolescents (aged 16 years old or under) receiving orthodontic treatment to prevent or correct crowded teeth · 12 weeks Orthodontic treatment for crowded teeth in children (2021) · Cochrane | MD 0.49 [0.35, 0.63] | 1 study · 66 participants | Very low |
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling Plasma level of IL-6 (pg/mL) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Short term, People diagnosed with periodontitis and hypertension Effect of periodontal treatments on blood pressure (2021) · Cochrane | MD -6.00 [-12.68, 0.68] | 1 study · 101 participants | Ungraded |
Visual examination (VE) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the 1/3 dentin caries detection level (Ekstrand; D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) | Specificity 0.77 [0.67, 0.85] | 3 studies | Ungraded |
Conventional bitewing radiography, E-speed film vs Histological validation of dental tissues (gold standard) Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021) | AUC 0.82 | 9 studies | Ungraded |
Radiographic imaging methods (any: analogue radiographs, digital radiographs, or CBCT) vs Reference standard (histology, excavation, or enhanced visual examination) Specificity for detection and diagnosis of early (enamel) caries · Asymptomatic children, adolescents, or adults presenting for clinical examination (in vivo studies), or extracted… · Up to 3 months between index test and reference standard (in vivo studies), Proximal surfaces (non-CBCT) Imaging modalities to inform the detection and diagnosis of early caries (2021) · Cochrane | Specificity 0.89 [0.84, 0.93] | NR | Ungraded |
Visual or visual-tactile classification systems (any system: ICDAS, ERK, Nyvad, Downer, Lussi, UniViSS, or unspecified) vs Reference standard (histology, excavation, radiographs/microCT, or tooth separation) Specificity for detection of enamel caries · Asymptomatic children or adults presenting for clinical examination (in vivo studies), or extracted teeth of children… · Up to 3 months between index test and reference standard (in vivo studies), Occlusal surface Visual or visual‐tactile examination to detect and inform the diagnosis of enamel caries (2021) · Cochrane | Specificity 0.74 [0.66, 0.81] | NR | Ungraded |
Conventional bitewing radiography (E-speed film) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the dentin caries detection level (D0-2 versus D3-4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) | DOR 127.56 [7.38, 2203.70] | 2 studies | Ungraded |
Conventional bitewing radiography (D-speed film) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) | Sensitivity 0.65 [0.57, 0.73] | 1 study | Ungraded |
Laser fluorescence (DIAGNOdent 2095) vs Cavity preparation or biopsy (operative validation) Diagnostic accuracy for occlusal caries detection at the caries detection level (D0 versus D1-D4) · Human permanent posterior teeth (premolars and molars) in patients, occlusal (pit-and-fissure) surfaces · in vivo Systematic review and meta-analysis of diagnostic methods for occlusal surface caries. (2021) | Sensitivity 0.88 [0.81, 0.93] | 1 study | Ungraded |
Quad-helix plus multi-bracket appliance vs Expansion arch plus multi-bracket appliance Canine expansion · Children and adults with a posterior crossbite, without a Class III skeletal relationship, cleft lip or palate (or… · 12 weeks after start of treatment Orthodontic treatment for posterior crossbites (2021) · Cochrane | MD -0.72 [-1.52, 0.08] | 1 study · 52 participants | Ungraded |
Digital bitewing radiography, sensor-based (CCD/CMOS) vs Histological validation of dental tissues (gold standard) Diagnostic accuracy for proximal caries detection (caries detection level) · Extracted permanent posterior teeth with proximal surfaces (in vitro) · In vitro (laboratory; extracted teeth); permanent posterior teeth, proximal surfaces, Caries detection level Systematic review and meta-analysis of diagnostic studies of proximal surface caries. (2021) | Sensitivity 0.35 [0.26, 0.45] | 12 studies | Ungraded |
Caesarean section (C-section) delivery vs Vaginal delivery Prevalence of early childhood caries (primary dentition) · Toddlers and preschool children, 2 to 6 years of age (primary dentition) · Caries assessed at 8 months to 6 years of age, Community/population-based; studies from Europe, Asia, South America and Israel Is the mode of childbirth delivery linked to the prevalence of early childhood caries? A systematic review… (2021) | OR 1.48 [1.07, 2.05] | 11 studies · 58682 participants | Very low |